Laserfiche WebLink
APPLICATIGA FOR CONSTRUCT:SN PERMIT <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 90201 •259-BB10 <br /> 1 1 DEMOLITION COMBINATION V BUILDING W MECHANICAL !,V PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> OWN MAIL ADDRESS CITY 71r PHONE <br /> c1 e.J /Jr�nrs rs Zoi3 uyc, S�� / ,nFI� 9kUI/ /ff3 /O ES <br /> TENANT MAIL ADDRESS CITY IIP PHONE <br /> ARCHITECT OR DESIGNER MAILAWFIESS CITY IIP PHCNE <br /> GENEMLCONTRACLM AtL AODIIESS CITU 21P PHONE STATE LICENSE IT <br /> t6rler/ !/t om e 7„ - 1,37-'* <br /> MECHANICAL CONTRACTOR (AML ADDRESS CITY IIP PHONE STATE LICENSE E <br /> /"lhY r t //arrr-T,� 33%y,//// <br /> PLUMBN) L005 TOEi u1L A0DElESS CITY IIP PHONE STATE UCENSEA <br /> N.11- / A/ <br /> CONTRACT PRICE OF WORK <br /> .L64 HEATING SYSTEM: qd GAS f 1 ELECTRIC fl <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CON PERSON AND PIONS NO <br /> 51,c- S 5/9-7/ s <br /> A <br /> /C_ y I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> DDDR APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 5.11�-/C' WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW TACH TWO I NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT��—BLOCK of AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAXI^ NUMBER - CONTRAC S LAW 18.277 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER,ADDRESS,TELEPHONE NUMBER X <br /> SIGNATUR DATE <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) I AIC-AJHNDLGUNITS-H.P. ! <br /> Z BATHTUB ' ( FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) 1 HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> I <br /> / DISHWASHER I VENTILATION FAN <br /> LAUNDRY TRAY ; RANGE HOOD I <br /> CLOTHES WASHER 1 WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) ~_ <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) I GAS RANGE ' <br /> ' GAS PIPING ' <br /> I EXHAUSTFAN ' <br /> I ' <br /> I � <br /> 1 <br /> I ' <br /> SUB TOTAL $ ' SUB TOTAL S ' <br /> PERMIT $ I PERMIT S ' <br /> TOTAL FEE $ ' TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SEIBAC$/ REM SETBACK SLOE ETBA�! PUNCNECK NUMBER FEE RECEIPT N(A <br /> USE ZONE �34 LOTAREA�I VACANT Sl FEES VALUATION 'FEE 55S IWF€4 fl NO BUILDING <br /> HEIGHT LIMITATION NO OF DWELLING SIIE OF BLDGa I �— <br /> ,y UNITS I b-5 Sf "PRAG± PLUMBING <br /> OCCUUPPAANNCY I NO 01 STORES OCCUPANT LOAD BASEMENT MECHANICAL <br /> Z n IT YES <br /> ADDITIONAL PUJ(CHECK <br /> FIRE ALARM REDO REASON <br /> O OTHER <br /> FIRE.SPRINKLER REO'D REASON <br /> STATE BUILDING SURCHARGE ) <br /> TYPE OF CONST PLANS APPROVED BYCITY OFEVERETT PUBLIC WORKS Q <br /> �7 <br /> Jlrk LOCAL SALES <br /> y -1J DATE 1 TAX CODE IS 3105 TOTAL <br />